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What is overnight care?


Overnight care as the name suggests is care provided by a professional carer in your own home during the night. There are several reasons why a person would require overnight care, including help with toileting, support with medications administration and mobilising in bed so you can be safe and comfortable during twilight hours. For many living with care and support needs, being left alone at night can feel daunting and for family carers they just want to know their loved one can have a peaceful night’s sleep and are safe in their own home.

Many families are able and happy to provide the care and support their loved one needs during the day but find the commitment during the night unmanageable in terms of maintaining their own health and wellbeing, so overnight care provided by a trained professional carer can be just the answer. They are then refreshed and recharged to meet their loved one’s needs during the day.

Depending on a person’s care needs and personal choice, overnight care can be provided in the following ways:

Sleeping night care – this is when a professional carer lives with you in your home and is on hand to support you up to twice during the night, providing you with comfort and reassurance that someone is there should you need them. Sleeping night care then enables the same carer to undertake their role supporting you during the day.

Waking night care – this is when a professional carer provides overnight care but is awake during the night-time hours, so they are alert and on hand to monitor your wellbeing and respond appropriately to any changes in your health, whilst providing all the support you need.

Overnight home care vs. care home


For many families realising their loved one needs increasing levels of care and support at night can be a very worrying and upsetting time. Whether a family carer is providing care for their loved one during the day or day care is being delivered by a care provider, many will feel their only option is for their loved one to move into a residential care home when overnight care is needed.

However, more and more families are choosing to receive care in the comfort and familiarity of their own home avoiding the upset and disruption that is experienced when having to move into a
residential setting.

There are many compelling benefits of receiving overnight care in your own home as opposed to enduring the stress and uncertainty of moving into a care home setting:

One-to-one care - something even the very best care home simply cannot achieve. In a care home setting an individual carer may be supporting up to eight residents during the night.

A uniquely developed, highly personalised plan of care will be designed to meet your care needs whilst addressing how you wish to live your life - none of the rigid timetables or set routines experienced in a care home.

Specialist and complex care provided by highly trained carers in the comfort and familiarity of your own home is paramount in helping those living with specialist conditions, like dementia, particularly during the night when dementia symptoms can be challenging.

No need to move out of your much-loved home, with all the upheaval and worry that brings. The family home can then be kept in the family, instead of being sold to fund care home fees. Staying at home means you can keep control of your life, with all your treasured memories and possessions around you.

If you have an adored pet, you will not be able to take this into a care home. With overnight home care you can keep your pet and the carer will support looking after it during the night.

Elderly couples who require care can stay together as a loving couple, as opposed to being split up to be cared for in different areas of a care home.

Unlike care homes, overnight home care for the elderly provides families with much needed peace of mind and reassurance knowing that their loved one is supported and cared on a one-to-one basis throughout the night.

Live-in overnight care

Our specialist overnight care for seniors is offered on a live-in basis and is flexible depending on your requirements, care needs and the support and involvement of the family in providing care to their
loved one.

  • Live-in care provides consistency and continuity of care from a trained professional carer who will live-in your home and provide you with care and support during the night. Our high-quality live-in care service allows for our carer to wake up and support your needs twice during the night. This will still mean they can continue to deliver the high standards of care during the day. If you are living with more complex needs that require more attention during the night, we can provide dedicated waking care during the night, however this would require an additional carer to support you during the day if your family are unable to manage your day
    time needs.
  • Respite care can provide a family carer with a much-needed break from caring for a loved one either during the day or night, or can be used as an opportunity to see how live-in care works and whether overnight care is right for you.
  • Short term care following hospital discharge or for those needing post-operative rehabilitation or stroke care.
  • Complex care of medical and specialist conditions like dementia, Parkinson’s or Multiple Sclerosis can be supported with overnight care – there is no need to go into a care home to receive this level of care during the night.
  • Palliative care for when your loved one has expressed a wish to die in their own home, overnight care can ensure you are peaceful and comfortable throughout the night with your choices and
    wishes respected.
Female live in overnight carer brushing the hair of a female client

What does our live-in overnight care include?


Expert nurse-led care

Our senior professional carers are trained to monitor and identify any changes in your health, responding appropriately and avoiding any unnecessary hospital admissions. Our carers will not provide any nurse-led care without having completed our specialist training programme, which equips them with the skills they need to perform any nursing task usually delivered by a district nurse, including:

  • Continence care, including bowel care and catheterisation
  • Undertaking gastrostomy care, including PEG feeding, stoma care and urostomy care
  • Blood sugar monitoring
  • Wound management and dressing
  • Delivering rehabilitation programmes with support from our in-house Occupational Therapist, who will ensure the right equipment is in place as needed
  • Working with physiotherapists to ensure exercise plans are completed
  • End-of-life palliative care which ensures a person’s needs and preferences are met until the very end of their life

Specialist care of conditions

We are expert in providing high quality care of conditions that affect older people, including dementia, Parkinson’s and Multiple Sclerosis. All our professional carers are trained in how to support people to live well with these conditions, whilst positively enhancing their quality of life. For those living with dementia we know that the night-time can present challenges and greater levels of care and reassurance are required. Our carers are trained to understand and effectively respond to these challenges, providing a calming environment and all the comfort you need.

Ensuring safe mobility in and around the home

Our in-house Occupational Therapist, Jackie Cooper will provide expert guidance and advice as to what equipment and home adaptations can help improve safe movement and mobility around your home, whilst minimising falls that are common in older people.

Managing and administering medications

Our professional carers are trained in medications management and use an electronic medications system to ensure all medications are managed proactively and effectively.

Companionship as and when you need it

Our carers will provide companionship whilst ensuring your privacy is respected. We ensure that a perfectly matched carer shares similar values and interests to make life interesting, stimulating and enjoyable, whilst being there for you to support your emotional and
psychological needs.

Providing discreet and sensitive personal care

This can include the task-orientated aspects of caring for someone, like bathing and getting dressed, but also those that promote self-esteem.

Planning and cooking meals

Meals will be planned and cooked according to your choice, preferences and nutritional needs, all served at a time that suits you. If you need help to feed yourself our carer is on hand to support you with this.

Why choose The Good Care Group for live-in overnight care?

There are many compelling reasons to choose The Good Care Group for a high-quality overnight care package:


Unrivalled nursing expertise

Dr Jane Pritchard who develops, leads and supports our approach to delivering high quality nurse-led overnight home care for those living with a range of complex medical conditions. Dr Pritchard will ensure our care teams are supported to not only effectively manage medications but are able to provide support with several complex medical inventions.

Our expert Occupational Therapist, Jackie Cooper provides our clients with the support they need to live safely and well at home, with all the equipment and any home adaptations they need to help them to live a fulling life, as independently as possible.

We work closely with and liaise with all other healthcare professionals involved in delivering care to an individual receiving our nurse-led service, including GP’s, district nurses and physiotherapists to ensure all health needs through a holistic and multi-disciplinary approach to care planning.

Innovating care delivery through technology

Unlike any other live-in home care provider in the UK, we have invested in creating our own market-leading technology to further enhance our service. Through the development of an online community for our clients, their families and our professional carers, we are proactive and responsive to emerging issues, whilst enabling the softer social benefits that technology brings. The secure platform is focused on ensuring our carers are equipped to effectively deliver the high-quality care our clients should expect, whilst delivering improvements in health outcomes. Our families can access important information about the care of their loved one, providing a reassuring window into the care they are receiving.

Our professional carers use a dedicated community through a Chromebook to complete daily care records, update care plans, monitor nutrition and hydration and manage medications proactively with safety features ensuring accurate administration. This allows us to effectively monitor the health outcomes of our client’s care, so we can prevent and respond to incidents and ensure the very highest quality of care is always provided. The online community also allows our professional carers to network, support each other and share best practice, whilst facilitating a connection which is so important for a remote workforce.

For families who may live some distance away from their loved one, they can access care plans, care records and a calendar of events as and when they wish, offering much-needed peace of mind. We are proud that this community offers families a transparent and immediate insight into our service. The technology also provides families with reassurance that any cash handled by our carers is being managed safely and accurately, whilst enabling them to manage practical arrangements, such as food shopping remotely. They can also connect with our other clients’ families who may well be in a similar situation as themselves, so they can share their care experiences and support
one another.

Our professional carers will utilise the technology for their clients’ socialisation and enjoyment – everything from video calls with family members so they feel connected, online shopping to general
web browsing.

Improving health outcomes

At The Good Care Group every decision is driven by delivering improved health outcomes for our clients. Through our dedicated and committed approach to providing high quality care to our clients and the use of our market-leading digital technology, we can evidence year on year significant improvements in our clients’ overall health
and wellbeing.

Unique to the live-in home care market, the technology enables us to digitally monitor health outcomes allowing us to effectively predict risk and shape the care we provide. We know, for example that urinary tract infections (UTI’s) are one of the leading causes of hospital admissions for our clients, so we equip our carers with handheld testing kits to proactively monitor our clients for infections. We then benchmark our data to demonstrate how effective our care is in improving the quality of our client’s lives in the context of other types of care provision, for example care homes.

Our health measures are focused on achieving the following:

  • Promoting wellbeing, independence and enjoyment
  • Reducing behaviours that challenge through implementation of psychosocial techniques
  • Reducing and eliminating antipsychotic drug use
  • Promoting excellence in nutrition and hydration
  • Reducing and preventing falls in the home
  • Reducing hospital admissions and re-admission
  • Reducing UTI’s and chest infections
  • Reducing carer stress

We are proud to be transforming health outcomes for those who require care at home. In 2020 our care teams achieved the following outcomes for those they cared for:

Infection Prevention

Proactive Monitoring of Chest Infections

Our vigilant carers manage early signs of illness, such as chest infections enabling timely intervention to avoid unnecessary hospital admissions. This has resulted in a 28% reduction in chest infection hospital admissions.

Reducing urinary tract infections (UTI’s)

Through enhanced training our professional carers can perform urinalysis tests. This means they can provide timely information to GP’s, enabling a quick diagnosis and treatment. 80% of our clients were diagnosed in 2020 using urinalysis kits. Through the introduction of testing, our clients are three times less likely to require emergency interventions involving a 999 call or ambulance call out when a urine test is completed.

Unrivalled falls prevention programmes

In England alone, 30% of people over the age of 65 fall at least once a year and for those 80 and over it is 50%. By comparison, only 7% of our clients aged 65 and over fell at least once, and that was only 6% for those aged 80 or over.

Our clients are six times less likely to suffer a serious injury as a result of a fall than residents living in a residential care home. This is a result of our quality one-to-one care, which just cannot be achieved in even the very best care home, and our effective personalised falls management programmes.

Working with our in-house Occupational Therapist, we identify clients who are ‘frequent fallers’ and through an intensive and personalised approach to falls management resulted in  50% of our clients never falling again.

A specialist pathway for palliative care at home

For those with a life-limiting illness or a terminal condition, most of us given the choice would wish to end our days in the comfort of our own home. However, the percentage of people in the general population who can do that is as low as 19%. By comparison, our approach to one-to-one palliative care at home has enabled 81% of our clients to pass away in the place they love most – their own home.

Effective pressure sore management

Our high-quality home care provided by dedicated and professional carers has seen a staggering reduction in pressure sores in those we care for when compared to both hospital and care home settings. Comparative data shows that you are 13 times less likely to acquire a pressure sore in The Good Care Group's care when compared to a hospital and 26 times less likely when compared to care home rates.

Efficient management of medications

Our digital technology is used proactively to effectively support safe administration of medications, which has seen error rates of 2.4% compared to a 22% error rate in care home settings.

Reducing the use of antipsychotic medication for those living with dementia


The use of antipsychotic medication to treat dementia symptoms has been increasingly challenged over the last ten years, as they have been shown to be harmful for people living with dementia and are at times prescribed unnecessarily. Through our approach to professional and specialist one-to-one care for those living with dementia, and the use of our market leading digital technology (eMAR) our clients are four times less likely to be prescribed antipsychotic medication than residents of care homes.

Peace of mind and reassurance for families

Rated ‘Outstanding’ by the Care Quality Commission (CQC)

The Good Care Group is the only live-in care provider in the UK to achieve an ‘Outstanding’ rating by CQC across all five categories – safe, effective, caring, responsive and well-led. We know this provides families with peace of mind that their loved one is receiving the best possible stroke care.

A fully managed nursing care service

We provide a fully managed and regulated nurse-led care service which offers families reassurance at a time they need it most. Unlike introduction agencies who are not regulated by CQC, all our carers are directly employed and managed by us. We ensure they are supervised by an experienced manager and supported by clinical experts – 24 hours a day, 7 days a week.

Local teams with national coverage

We operate nationwide with a local approach to management of our teams near you. Each dedicated care manager has as small portfolio of clients to support, enabling the care team to provide a tailored one-to-one approach with the highest levels of monitoring and support.

Female live in carer talking to elderly male client sitting on a couch

What is included in our service?

Our highly personalised live-in overnight care service includes:

  • Access to clinical expertise and medical support
  • Full assessment before care starts
  • Bespoke and flexible care plan developed with input from the family and other healthcare professionals
  • Matching of the most suitable care team to meet the holistic needs of our clients
  • Dedicated care team led by an expert regional care manager
  • Meal planning and household tasks
  • Social and lifestyle enhancement.
  • Specialist support and expertise - 24 hours a day, 7 days a week

Costs of overnight care

The cost of care for people wishing to receive a live-in home care service is typically in line with – and sometimes less than – what you would pay for residential care, with the added benefit of receiving one-to-one, personalised overnight care, something that cannot be achieved in even the very best care home.

For couples, the cost of live-in overnight care is cheaper than moving into residential care where you would be expected to pay for two bedrooms and packages of care. With live-in care there is only a nominal charge for couples’ care.

Talk to us about your overnight care needs

We are experts in providing a fully managed, high-quality care at home service rated ‘Outstanding’ in all areas by CQC – the only live-in care provider to achieve this. Call our friendly and approachable team today to see how we can help you and your family.